New”trition: the Revised Food Guidance System

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Transcript New”trition: the Revised Food Guidance System

MyPyramid
USDA’s New
Food Guidance System
United States Department of Agriculture
Center for Nutrition Policy & Promotion
History of USDA’s Food Guidance
Food for
Young
Children
1992
1916
1940s
1970s
2005
1950s-1960s
--1992-Food Guide Pyramid
--2005-MyPyramid
Reasons for Revising—
Updating the Science
• To ensure that the guidance reflects the latest
nutrition science
– New nutrient standards—DRI
– New Dietary Guidelines
– Food consumption and composition data
Reasons for Revising—
Improving Implementation
• To improve the Pyramid’s effectiveness with
consumers
– Motivational tools—new graphic and slogan
– Educational tools—education framework,
consumer messages, website, and interactive
tools
Dietary Reference Intakes (DRIs)
• National Academy of
Sciences, Institute of
Medicine
• Recommended intake
levels for vitamins,
minerals, and
macronutrients
• Current recommendations
issued from 1997-2004
Dietary Guidelines for Americans, 2005
• Dietary recommendations
for health promotion and
chronic disease prevention
• Based on Dietary
Guidelines Advisory
Committee report, public
comments
• For policymakers, health
professionals
Guiding Principles—
Unchanged
Evolutionary
Flexible
Practical
Useful
Overall
Health
Realistic
Up-to-Date
Research
Total
Diet
Stages in Development
Science base developed—2001 to 2004
• Technical analysis process to establish the food
intake patterns—“what and how much to eat”
• Completed in concert with development of the 2005
Dietary Guidelines
Consumer presentation developed—2004 to 2005
• Food guidance system includes motivational and
educational tools
• Messages and materials for consumers and
professionals
Developing MyPyramid Food
Intake Patterns
Developing Food Intake Patterns
1.
2.
3.
Determine calorie needs
Set nutrient goals
Calculate nutrient profiles for each food group,
based on
• Nutrient content of foods in group
• Food consumption
4. Construct food patterns that meet goals
Determine Calorie Needs
Estimated Energy Requirements* for males
3400
3200
3000
2800
ACTIVE
Calories
2600
2400
2200
2000
SEDENTARY
1800
1600
1400
1200
1000
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 20 25 30 35 40 45 50 55 60 65 70 75 80
Age
*From the National Academy of Sciences, Institute of Medicine Dietary Reference Intakes Macronutrient Report
Set Nutrient Goals
What level of nutrients should each food intake pattern strive for?
• Goals based on Dietary Reference Intakes* and/or
Dietary Guidelines standards for
– 9 Vitamins
– 8 Minerals
– 8 Macronutrients (protein, carbohydrates, fats)
• Separate nutrient goals set for each age/sex group
based on their needs
*From the National Academy of Sciences Institute of Medicine
Calculate Nutrient Profiles
Determine amount of a nutrient each food group provides
For example: What is the vitamin A content of a typical dark
green vegetable?
Cooked Spinach
943 µg per cup
Cooked Broccoli
153 µg per cup
Nutrient Profiles
How much of each dark green vegetable (DGV) is
consumed?
Percent of total DGV consumption
Cooked Spinach
15%
Cooked Broccoli
36%
All other DGV
49%
0%
20%
40%
60%
Nutrient Profiles
Calculate weighted average of vitamin A in DGV
Result
(943 x .15) + (153 x .36) + … + ..., etc. = 334 µg/cup
Spinach
Broccoli Other DGV
Nutrient Profiles
• A profile is calculated for all nutrients in each food
group and subgroup.
• Calculations are based on “nutrient dense forms” of
each food—lean or lowfat, with no added sugar
Nutrient
profile of
food group
= Sum
Nutrient
contribution
of each food
X
Likelihood of
each food
being eaten
n
Construct Food Intake Patterns
• Establish initial amount from each food group
• Compare resulting nutrient content to nutritional goals
• Change amounts from food groups stepwise
– Identify groups or subgroups that are the most
feasible nutrient sources
– Check amounts recommended against typical
consumption
• Remaining calories after nutrient needs were met
were identified as “discretionary calories”
Discretionary Calories
A new concept first described by the
2005 Dietary Guidelines Advisory Committee
Discretionary
calories
=
Total estimated
energy
requirement
— Essential
calories*
*Essential calories are the calories needed to meet
nutrient requirements when consuming foods in lean,
low-fat, and no-added-sugar forms.
Discretionary Calories
May be used to:
• Increase amount of food selected from a food
group
• Consume foods that are not in the lowest fat
form—such as 2% milk or medium-fat meat or
items that contain added sugars
• Add oil, fat, or sugar to foods
• Consume alcohol (for those who consume
alcohol)
MyPyramid
Recommendations Compared to Consumption
Bars show percent change needed in consumption to meet recommendations
200
Percent change
Females 31-50
Males 31-50
100
Increases
Current
Consumption
0
Fruits
-100
Vegetables
Grains
Meat & Beans
Milk
Decreases
Fat, Oil & Added Sugars
Allowances Compared to Consumption
Bars show percent change needed in consumption to meet recommendations
100
Percent Change
Females 31-50
Males 31-50
50
Increases
Current
Consumption
0
Decreases
-50
Solid fats
-100
Oils
Added sugars
Vegetable Recommendations
Compared to Consumption
Consumed*
Recommended*
22%
9%
17%
6%
7%
38%
45%
11%
48%
30%
17%
17%
Dark Green Vegetables
Orange Vegetables
Legumes
Other Vegetables
Starchy Vegetables
*Females 31-50
Grain Recommendations
Compared to Consumption
Consumed*
Recommended*
13%
50%
50%
87%
Whole Grains
Refined Grains
*Females 31-50
Food Intake Patterns
Completed in concert with development of Dietary Guidelines
• Published in 2005
Dietary Guidelines
• 12 patterns—ranging
from 1000 to 3200
calories—to meet varied
needs.
www.healthierus.gov/dietaryguidelines
Developing MyPyramid
Consumer Presentation
Developing MyPyramid’s
Consumer Presentation
• Systems approach for communications
• Input from stakeholders
• Consumer research
– Understanding of messages
– Appeal of potential designs/messages
• Development of materials
Systems Approach for Communications
To Include
• Graphic symbol and slogan
• Consumer messages
• Interactive guidance tools—personalized
• Print materials
• Materials for professionals
– Food intake patterns
– Educational framework
Consumer Research
Understanding of original Pyramid and potential messages
Sample findings:
• “Healthy eating” means variety, moderation, and
eating fruits and vegetables.
• Pyramid depicts a healthy diet, but it is complicated
• Limited understanding of food group placement on
graphic
• Need help understanding whole grains, types of fat
• A “serving” is “what is on my plate”
Daily Amounts
in cups or ounces
Consumer Research
Graphic and Slogan Development
•
•
•
•
•
Several rounds of qualitative testing
Explored consumer reactions and appeal of images
Tested a variety of graphic images
Consumers preferred a pyramid-like shape
Slogans and key messages also tested
Final Graphic Design
Activity
Proportionality
Moderation
Variety
Personalization
Gradual
Improvement
Message: Variety
In the Dietary Guidelines:
• Consume a variety of nutrient-dense foods and
beverages within and among the basic food groups.
In MyPyramid graphic:
• Color bands represent that all
food groups are needed
each day for health.
Food Groups are Color Coded
Message: Proportionality
In the Dietary Guidelines:
• Adopt a balanced eating pattern.
– Sufficient amount of fruits and vegetables,
– 3 or more ounce equivalents of whole-grain products per day
– 3 cup equivalents per day of fat-free or low-fat milk or milk
products.
In MyPyramid graphic:
• Differing widths of the color bands
suggest about how much food
should be eaten from each group.
Message: Moderation
In the Dietary Guidelines:
• Limit intake of saturated and trans fats, and choose
products low in these fats.
• Make choices of meat, poultry, dry beans, and milk
products that are lean, low-fat, or fat-free.
• Choose and prepare foods and beverages with little added
sugars or calorie sweeteners.
In MyPyramid graphic:
• Food group bands narrow from
bottom to top suggesting to eat
nutrient-dense forms of foods.
Message: Physical Activity
In the Dietary Guidelines:
• Engage in regular physical activity and reduce
sedentary activities to promote health, psychological
well-being, and a healthy body weight.
In MyPyramid graphic:
• Steps and person on them
symbolize that physical activity
should be a part of
everyday healthy living.
Additional Messages in the
MyPyramid Graphic
To foster implementation
Personalization:
• The name “MyPyramid” suggests an
individual approach.
• The person climbing the steps
mentally links each viewer to
the image.
Gradual Improvement:
• The slogan “Steps to a Healthier You” suggests that
improvement should happen in stages, over time.
Key food group messages from the
Dietary Guidelines and MyPyramid:
Focus on fruits.
Vary your veggies.
Get your calcium-rich foods.
Make half your grains whole.
Go lean with protein.
Know the limits on fats, salt, and sugars.
Using MyPyramid
Consumer Materials
Consumer materials
Graphic image and slogan
Poster
Mini Poster
Website: MyPyramid.gov
MyPyramid Plan
MyPyramid Tracker
Inside MyPyramid
In development:
Kids materials
Spanish version
Print materials: Mini Poster
Print materials: Mini Poster
MyPyramid Tracker
A tool for those desiring a more
advanced analysis of their food
intake and physical activity
Adapting MyPyramid
The professionals’ role
Meeting varied needs
• Audiences—Older Americans, low-literacy, Spanish
speaking
• Food preferences—Vegetarian, lactose-intolerant,
ethnic
• Situations—Eating out, carrying in, cooking at home
Implementation
• Implementation is the
challenge ahead.
• Health/education
professionals are vital
for success.
• It will be an ongoing
process.
• Working together, we
can help Americans to
be healthier.